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Overview

Sensitive Teeth: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Also called sensitive dentin, dentin sensitivity, dentin hypersensitivity, cervical sensitivity, cervical hypersensitivity.

How is the treatment done?

Sensitive teeth, also called dentin hypersensitivity is a very common dental condition where a sharp but short duration pain occurs in the dental region inside the teeth and gums in response to certain stimuli but not caused due to any other disease. The stimuli can be thermal, mechanical or tactile, electrical, osmotic, or due to chemicals or evaporation.

The root cause of dental hypersensitivity is exposure of the dentine layer of the teeth that lies just underneath the outer enamel coating. The dentine layer may be exposed due to receding gums, or due to the erosion of the enamel. Dentine contains millions of microscopic tubules fanning outward from the pulp. These dentinal tubules are filled with a fluid. Once exposed, the external stimuli cause changes in the flow of this fluid, and this triggers the sudden sharp pain response from the mechanoreceptors from the nerves in the pulp. Some level of sensitivity is noted even in healthy teeth, but the response is much sharper and more intense in case of hypersensitivity.

A great number of treatment options are available to treat and manage dental hypersensitivity. Even without treatment hypersensitivity response is slowly managed and muted by the body by laying down tertiary drains and thickening the dentine, but these processes take a very long time, and the condition might turn more severe if the pulp becomes involved and inflamed.

Who is eligible for the treatment? (When is the treatment done?)

A multitude of treatment options are available for dental hypersensitivity. The most easily available are desensitizing toothpastes that are available over the counter at any pharmacy. These toothpastes help to block pain by forming a layer over the exposed ends of the dentinal microtubules. Fluoride is also used to strengthen the enamel so that it resists decay. The exposed dentin surface may also be sealed in a process similar to dental filling for cavities. Lost gum tissues may need to be replaced by taking up tissues from elsewhere in the mouth. In case other treatments are ineffective, a root canal procedure is performed, which involves a surgical removal of pulp with all its nerve endings. The procedure is usually applied to treat severe hypersensitivity problems arising from other more severe causes like inflammation of the dental pulp. Treatments may need to be combined with teeth crowns to protect them from further damage.

Who is not eligible for the treatment?

Dental hypersensitivity is characterized by sharp sudden pains in the teeth in response to various stimuli. Commonest of these stimuli is temperature, where the pain is triggered by cold or hot liquids coming in contact with the affected teeth. Even cold air can cause a dental hypersensitivity in some of the more severe cases. Brushing teeth may cause the pain. Sugar solutions like fruit juices, soft drinks, etc. can cause the pain to occur. Solid or liquid edibles with acidic pH coming in contact with the affected teeth can cause pain. Dental hypersensitivity may occur due to some other dental diseases, in which case the underlying cause needs to be addressed. If no other diseases are seen to be the cause of hypersensitivity, the patient is eligible for hypersensitivity treatment.

Are there any side effects?

Some dental diseases like pulp inflammation may be the cause of hypersensitivity. In this case, treatments like sealing of dentine is not advised as the pulp may turn necrotic and the damage may spread to other parts of the mouth and gums.

What are the post-treatment guidelines?

Some side effects are associated with treatments for sensitive teeth. For example, fluoride treatment can cause fluoride poisoning if used non-judiciously. Dental crowns placed to protect the enamel from decay may further aggravate the problem of increasing dentinal hypersensitivity.

How long does it take to recover?

Post treatment guidelines for teeth hypersensitivity include simple habits to keep the teeth and gums clean and healthy to prevent their further decay. These include regular brushing and flossing at least twice a day, rinsing out the mouth properly after every meal, having some water after having some acidic food, wearing mouth guards if grinding teeth is a regular problem, etc.

What is the price of the treatment in India?

Some of the treatment options manage the condition by preventing further enamel decay and reducing dental sensitivity, and these treatments are regular treatments. Root canal surgery is performed in severe cases, and it takes about three to four weeks to recover.

Are the results of the treatment permanent?

Treatment costs for dental hypersensitivity vary widely from Rs. 50 going up to Rs. 10,000 or higher for surgical procedures and follow ups.

What are the alternatives to the treatment?

Some treatments are regular and ongoing. Results of most treatments are long lasting if proper care is taken and further decay does not occur. Results of root canal surgery are permanent since the entire pulp with nerves is removed.

Safety: Condition Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Rs. 50 - Rs. 10,000

Popular Health Tips

Tooth Whitening - Is It Secure?

BDS, MDS - Periodontology and Oral Implantology
Dentist, Bangalore
Tooth Whitening - Is It Secure?

Nobody is happy with their teeth and everybody wants whiter, brighter teeth. In the last few decades, tooth whitening is one of the most commonly done cosmetic dental procedures. Majority of these people are in the age of 10 to 25, who are very conscious about their looks.
What needs to be understood is that dental whitening is permissible to a certain extent. Not many people realize this and continue to use the tooth whiteners even after the desired result is achieved in an effort to get it a couple of more shades lighter. This is something that needs to be watched for.

Safety of tooth whitening: Talking about safety of tooth whitening, some of the supposedly unsafe aspects are listed below.
Most products used currently are tested both on patients and in laboratory and are proven to be completely safe. However, overuse or misuse of these products can lead to issues. The active chemical ingredient in most of these products is hydrogen peroxide - most contain about 10% carbamide peroxide which breaks into hydrogen peroxide and urea. There are claims that this is carcinogenic. However, this is not the case and there is no strong correlation. Also, if the application is done correctly, there is very minimal exposure to hydrogen peroxide directly.

The second issue that most people associate tooth whitening is with tooth sensitivity and gum irritation. Both these symptoms are directly related to the percentage of carbamide peroxide. It is shown that products with more than 10% produce more teeth sensitivity and gum irritation than those that contain less than 10%. Improper tray selection can lead to gum irritation. Also, patients who are overzealous and go about whitening their teeth further can end up with severe sensitivity. The explanation in these cases is the enamel is worn off by the chemical leading to exposed dentinal tubules which, even when exposed due to caries, can cause sensitivity.

Listed below are some ways to avoid or reduce sensitivity-

1. When using the bleaching tray applicator, use it only for the recommended period of time. Do not keep it longer to make the teeth whiter.
2. Use a paste that is meant for sensitive teeth. The potassium nitrate in these will help relieve sensitivity.
3. Use a product with fluoride so that the teeth can remineralize. This can be used before and after tooth whitening for up to 4 minutes.

It is advisable to avoid tooth whitening in some cases like the following-

1. Pregnancy
2. Breast feeding
3. Ceramic crowns or bridges in the front teeth - these cannot be bleached
4. Gingival disease with gum recession and exposed root - the sensitivity is sure to quite high

To avail the best results, always use clinically proven products under the supervision of a dentist.

1 person found this helpful

7 Best Homeopathic Remedies For Toothache At Your Rescue!

BHMS, PGDCBM, MD(AM) , Diploma in Nutrition and Health Education (DNHE)
Homeopath, Gurgaon
7 Best Homeopathic Remedies For Toothache At Your Rescue!

Odontalgia or severe toothache is characterized by extreme pain or inflammation of the tooth and its surrounding areas. The excruciating pain that you might experience may stem as a result of gum infection, tooth decay, infection of the dental pulp, abscess and due to certain other reasons like extraction or filling of the teeth. Another key reason for extreme toothache is the fact that a number of heart problems such as myocardial infarction and angina tend to affect your dental health negatively.  

While some toothaches might occur sporadically, they might pose a danger against your overall well being in the long run if the condition is left untreated. Homeopathy can serve as the perfect antidote to your toothache problems and its effects are noted to be significantly higher when it comes down to the question of long-term consumption.

Here is a list of homeopathic medications that might prove to be a pain alleviator for your dental complications:

1. HEPAR SULPH AND SILICEA
Root abscess responds positively to both Hepar Sulph and Silicea. For fever accompanied with occasional chills due to severe toothache, Hepar Sulph is considered to be the perfect remedy and tends to significantly decrease the level of swelling and pain. On the other hand, if your face swells and there is an incidence of gum inflammation, Silicea must be used to numb the effects of root abscess.

2. PLANTAGO
Plantago is noted to be the most commonly prescribed medicine for toothaches and for treating sensitivity. The pain extending to the ears from the teeth receives maximum relief due to the effects of Plantago. It might have to be taken internally or applied externally depending on the severity of the toothache and its accompanying conditions.

3. STAPHYSAGRIA
Sensitivity is best taken care of by Staphysagria and resolves the problem of worsening of toothache when any drink or food is consumed. Bleeding gums and excess salivation is also another aspect that is looked after by Staphysagria.

4. ARNICA
Tooth extraction and filling may often lead to the consequence of nerve-wrecking pain in the gums and the affected area. For this, Arnica is prescribed to assuage the nerve pain and must be taken in along with Hypericum, another homeopathy medicine, for best results.

5. MERC SOL
Problems of halitosis and excessive salivation that tend to occur simultaneously with toothaches can be solved by a dosage of Merc Sol. Bleeding gums, looseness of teeth and sensitivity are all taken care of by the same medication.

6. HECLA LAVA
For jaw swells along with toothache, you must always opt for Hecla Lava. The effect is instantaneous and relieves both swelling and pain.

7. CHAMOMILLA
Chamomilla serves as the best remedial homeopathic medicine for easing heat sensitivity that is likely to worsen the existing toothache. Drinks and food, either hot or cold, can then be consumed easily because of the numbing effect of this medicine.
 

3124 people found this helpful

Oral Hygiene Tips!

BDS, Certificate of Speciality Training In Restorative Dentistry & Endodontics, Advanced Certificate Course In Aesthetic Dentistry
Dentist, Mumbai
Oral Hygiene Tips!

Brushing more and harder does not clean better.
It damages your teeth and wears off your tooth layer leading to tooth sensitivity.
Brush softly using the correct method as guided by your dentist.

4 people found this helpful

Toothache - Know Homeopathic Medications That Can Do Wonders!

BHMS, MD- Alternative Medicine, Basic Life Support (B.L.S)
Homeopath, Surat
Toothache - Know Homeopathic Medications That Can Do Wonders!

Odontalgia or severe toothache is characterized by extreme pain or inflammation of the tooth and its surrounding areas. The excruciating pain that you might experience may stem as a result of gum infection, tooth decay, infection of the dental pulp, abscess and due to certain other reasons like extraction or filling of the teeth. Another key reason for extreme toothache is the fact that a number of heart problems such as myocardial infarction and angina tend to affect your dental health negatively.  
While some toothaches might occur sporadically, they might pose a danger against your overall well being in the long run if the condition is left untreated. Homeopathy can serve as the perfect antidote to your toothache problems and its effects are noted to be significantly higher when it comes down to the question of long-term consumption.

Here is a list of homeopathic medications that might prove to be a pain alleviator for your dental complications:

1.        HEPAR SULPH AND SILICEA
Root abscess responds positively to both Hepar Sulph and Silicea. For fever accompanied with occasional chills due to severe toothache, Hepar Sulph is considered to be the perfect remedy and tends to significantly decrease the level of swelling and pain. On the other hand, if your face swells and there is an incidence of gum inflammation, Silicea must be used to numb the effects of root abscess.

2.        PLANTAGO
Plantago is noted to be the most commonly prescribed medicine for toothaches and for treating sensitivity. The pain extending to the ears from the teeth receives maximum relief due to the effects of Plantago. It might have to be taken internally or applied externally depending on the severity of the toothache and its accompanying conditions.

3.        STAPHYSAGRIA
Sensitivity is best taken care of by Staphysagria and resolves the problem of worsening of toothache when any drink or food is consumed. Bleeding gums and excess salivation is also another aspect that is looked after by Staphysagria.

4.        ARNICA
Tooth extraction and filling may often lead to the consequence of nerve-wrecking pain in the gums and the affected area. For this, Arnica is prescribed to assuage the nerve pain and must be taken in along with Hypericum, another homeopathy medicine, for best results.

5.        MERC SOL
Problems of halitosis and excessive salivation that tend to occur simultaneously with toothaches can be solved by a dosage of Merc Sol. Bleeding gums, looseness of teeth and sensitivity are all taken care of by the same medication.

6.        HECLA LAVA
For jaw swells along with toothache, you must always opt for Hecla Lava. The effect is instantaneous and relieves both swelling and pain.

7.        CHAMOMILLA
Chamomilla serves as the best remedial homeopathic medicine for easing heat sensitivity that is likely to worsen the existing toothache. Drinks and food, either hot or cold, can then be consumed easily because of the numbing effect of this medicine.
 

5278 people found this helpful

Sensitive Teeth!

BDS
Dentist, Mumbai
Sensitive Teeth!

Is the taste of ice cream or a sip of hot coffee sometimes painful experience for you? Does brushing or flossing make you wince occasionally? If so, you may have sensitive teeth.

Possible causes include:

In healthy teeth, a layer of enamel protects the crowns of your teeth—the part above the gum line. Under the gum line, a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin. 
Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity.

Sensitive teeth can be treated. The type of treatment will depend on what is causing the sensitivity. Your dentist may suggest one of a variety of treatments:

  • Desensitizing toothpaste. This contains compounds that help block transmission of sensation from the tooth surface to the nerve, and usually requires several applications before the sensitivity is reduced.
  • Fluoride gel. An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
  • A crown, inlay or bonding. These may be used to correct a flaw or decay that results in sensitivity.
  • Surgical gum graft. If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
  • Root canalIf sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.

Proper oral hygiene is the key to preventing sensitive-tooth pain. Ask your dentist if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.

7 people found this helpful

Popular Questions & Answers

I have sensitivity from sugar in my right lower 1st molar teeth from the last 1.5 month. It hurt me most whenever I chew some sweet on that teeth. What can I do Please help me.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hi Sir, Visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.
1 person found this helpful

Is sensodine best for sensitive teeth what is gum paint benefits of fluoride varnish.

BDS , MCP
Dentist, Bangalore
Sensodyne repair and protect is a good gel to use for sensitive teeth. But my advise is do not use it like a regular tooth paste for brushing ideally for its proper action apply it on your teeth and leave it for 3-5 minutes for the complete result. And use it in the same way twice daily for atleast 2-3 months. Thanks.
1 person found this helpful

After scaling how long does sensitivity and sore gums n discomfort around gums last? Are oranges good for teeth. Can I eat 1 orange daily I am arnab I am 25 years male from jamshedpur what is the best diet for sensitive teeth and gingivitis is sensodine best for the above problems kindly reply me.

BDS , MCP
Dentist, Bangalore
Usually sensitivity lasts for a week but may prolong in few patients. If you are still facing sensitivity start using sensodyne repair and protect for a month twice daily. Apply it and leave on your teeth for 3-4 minutes and than normal brushing. You can surely continue having orange for time being if the sensitivity is more avoid eating or drinking extreme temperature things thanks.

I'm 20 (m) years old. Brushing my teeth daily. But teeth are not fine I feel hot and cool even there are holes in the teeth what could be there.

BDS
Dentist, Gurgaon
There might be deep cavity. Kindly get it checked by dentist so that treatment can be done accordingly.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Tooth Sensitivity

Hello friends, my name is Dr Aishna Sharma, today I am going to discuss about the topic that is very common and in general everyone suffers from it and that is, tooth sensitivity.

Tooth sensitivity is basically any kind of pain due to extremes (hot and cold) food or drinks or even with a blow of air. Now first of all going deep into this topic you musyt understand the tooth structure, that is a tooth it consists of three layers;

The outermost layer enamel, that is considered to be the hardest substance on the eart, other than the diamond.
Now, after enamel comes dentin. Dentin is considered to be the softer substance.
It has tubules in it. Tubules that starts from the outer layer of the dentin and ends up to the pulp.
This dentin and inside dentin is the pulp. The pulp or the nerve tissue, this nerve tissue consist if sensations, and with whatever we eat whatever we have all the sensation is passed through the nerves and it reaches through the dentin and then it reaches to the enamel. Now whenever we have sensitivity it means that the tooth structure is lost because of many reasons. Now first and foremost reason is the loss of gum tissue. The loss of gum tissue can occur when we take some very acidic things like pepsi, coke or any aerated drink. So in that case our gum tissues are soft in nature, that gets lost. So when it gets lost the lower part of the tooth that is the root of the tooth, it gets exposed and it is sensitive in nature so obviously you will have sensitivity in that area. The sensitivity is not in the tooth structure it is in the root area. Now, other reason of sensitivity is decay. Decay is the most common.

When you will have decay?

First and foremost you will get to know about decay when your food will get lost when the food will get lost only in the outer surface of the tooth, that is the enamel, you won t have any sensitivity you will just have the complain of getting the food lost, but when it reaches the dentin, you will definitely have sensitivity. The first sensitivity you are going to have is cold, after that hot and after that when it is very near to the nerves, you will have sensitivity to sweets. Now, this is how this process of decay stats from sensitivity and ends up in pain because when you reach the nerve, you will experience pain. Other reason of sensitivity is fracture, when the tooth gets fractured, so obviously in fractured case also the dentin is getting exposed and even at times the pulp or the nerve tissue gets exposed. So all the sensation, whatever you eat or drink gets passed on to the tooth directly to the inside of the tooth directly and you will have sensation of hot and cold, even to sweets.

Now, what is the treatment line for tooth sensitivity?

The first and foremost line and the most common treatment line people do at home is the desensitizing paste, nowadays there are so many advertisements coming on national television. So, desensitizing paste is something that you have to use regularly and slowly you will attain the result. But, ya if you don t get results with the desensitizing paste, you have to come to the clinic. To the doctor s place and you have to get the treated by the fluorited toothpaste that the doctor will recommend. Even after that if you are not getting relieved, then you haveto go for the filling that filling is medicated filling. Even at times if it is your bad luck that you don t even get relief with the filling then you have to go for the root canal only after that the sensitive tooth will be relieved.

For further detail on this topic, you can call me and chat with me. There is live chat option also on librate.com and you can visit our clinic that is Rohini Dental Care and it is in sector 31 Gurgaon. Rest, you can get from the Lybrate.
Play video
Tooth Decay
Detailed description on Tooth decay

Hi I'm Dr. Vikash, an Endodontist and Senior Consultant at Ethical Dental and Health Care, Sector-1004, Noida. Today I'm going to discuss about the most common disease in the world, that is Tooth Decay.

Inside everyone's mouth there is a war going on. Our tooth is under attack by various bacterias. These bacterias grow a layer called plaque. It is an invisible battle because bacterias are of same color as our tooth and they hide in hard to reach areas of our mouth like gum line and between tooth. Plaque bacteria attack on sugary tooth. They turn sugar into acid and acid into enamel. This is where our body fights back thanks to saliva. Saliva is full of minerals that replaces the tooth structures dissolved away by plaque acids. It takes about 20mins for the minerals to get back in balance after a meal. But if more minerals are taken away than replaced then enamel collapses and bacteria can get into tissue below. This causes cavity and the tooth is in trouble.

Bacteria will start rotting the dent in the enamel causing tooth decay. WHen decay hits sensitive area you get tooth decay. By now enamel is completely undermined. Although only a dentist can remove bacteria from cavity but you can play your own part in the battle. If you cut off in between meal snacks and regularly remove bacterias with brush and floss, then by this you will be helping your body win the war against tooth decay.

For more information about dental problems you can contact me on Lybrate or walk into my dental clinic, Ethical Dental and Health Care, Sector-1004, Noida.
Play video
Tooth Pain - Causes and Treatments
Hello, everyone, I am Dr Vaibhav Garg. I m a micro endodontic and oral care expert. Every day we come across patient s that complain of tooth pain. The pain can be excruciating and can give you sleepless nights. Pain usually occurs due to decay or some sort of pathology in the tooth. As we can see here, tooth decay can be of different levels: minimum, medium or maximum. If we see in depth the maximum tooth decay that happens reaches the blood supply of the tooth. This is the actual cause of tooth pain. As we have seen that the decay is large, such teeth are usually treated with root canal therapy to save the tooth for function and aesthetics.

In a root canal therapy, the infected tissue is removed and the permanent material is fit in the canal and the tooth is secured with a crown. Modern root canal therapy is conducted with the latest equipment and safety measures to give the patient a perfect feeling and it will give the patient the best of treatment possible. If you are going through a pain tooth series, episodes of long-term sensitivity or something else anything that includes oral health care, please visit us through lybrate.

You can take consultations online and offline mode. You can always visit us personally. All the details are available on the lybrate website.
Play video
Importance Of Teeth
Teeth stains are a major inconvenience as a well as harmful for your teeth. Teeth stains can occur due to consuming certain foods and drinks. It can also be caused due to unhealthy lifestyle choices, such as not brushing teeth or flossing.
Play video
About Tooth Implants
Hello, everybody, I am Dr Priyanka Puri. I have been practising for the past 12 years. My specialization is aesthetic and cosmetic dentistry and I m an implantologist also.

So today we are going to talk about implants which is a hot topic nowadays for patients and for practising doctors also. So when is that you can have an implant in your mouth. You can have an implant in your mouth when you have a missing tooth. Like you can see in a model here. There is one tooth that is missing. This is a lower molar. In actual the teeth are placed like this in your mouth. So there are the roots, there is the crown and where there is a missing tooth you can see the empty socket here. So when you have a missing tooth in your mouth there are ways to replace it and with the latest technology, we can have a fixed tooth in your mouth which has no relation to your adjacent teeth.

What is an implant?

Implant is nothing but titanium screw. As you can see in this model. The implant is a titanium screw which is made up of titanium and titanium has this unique property of binding with your Alveolar bone. This is how an implant is placed in your socket and this is how it will be inside your bone and as we are talking about the lower jaw we put this implant in your lower jaw bone. We leave it there for three months in case of lower bone and in case of upper bone for six months and this time period is very important for the implant to re-mineralise to reintegrate to become the part of your bone. This is the unique property of titanium and after that what we can do is we can give you a cap with which you can apply all the masticatory forces and you can eat with this tooth. As you can see in the model it is independent of your front and back tooth. It has no relation with your front and back tooth. It is totally independent. And you can see from inside also. This complete procedure takes about three months for the lower jaw and around six months for the upper jaw in case there are no bone deformities, there are no bony disturbances.

One of the important concerns or things which would like to confirm from the patients is the sugar levels, and his or her habits. Because of sugar if it is not at the level if it is fluctuating sugar levels. Then implants success rate will go down and in case you are a heavy smoker then also implants success rates will also go down. But otherwise, implants have a success rate of 90 to 95% all over the world. So it s great of restoring your missing tooth.

In case you have any doubts you can consult me in my clinic at smile experts or you can connect to me on lybrate.
Having issues? Consult a doctor for medical advice